Tag Archives: Sheffield CCG

CCG accused of using ‘flawed’ test to cut spending on elderly | News | Health Service Journal

  • Ward nurses concerned West Norfolk CCG’s screening process blocks eligible patients from receiving funding
  • CCG’s “5Q test” sprung out of pilot project supported by NHS England
  • Other CCGs have scrapped plans to introduce the test, with one advised to do so by NHS Improvement officials

A clinical commissioning group has been accused of blocking potentially eligible patients from receiving continuing healthcare funding under a programme supported by NHS England.

West Norfolk CCG has been using a locally-devised screening process, called the “5Qs test”, which effectively means a higher proportion of patients do not receive an official assessment for NHS funded continuing healthcare.

By law, patients with complex long term conditions are entitled to free social care funded by the NHS, so long as they are assessed as having a primary medical care need under the official CHC process.

An expert in CHC cases told HSJ that West Norfolk’s test is “significantly flawed”, because it screens out some patients who should be eligible for an official assessment.

Dan Harbour, managing director of Beacon, a company which specialises in CHC cases, said ward nurses have raised concerns to his organisation.

The CHC process involves two steps. Patients are initially screened using an official Department of Health and Social Care checklist to identify those who may be eligible. Patients who pass through this screening receive CHC funding until their full assessment decides if this funding should continue.

National guidance published by the DHSC says the initial screening checklist “is the only screening tool that can be used” to identify patients who should receive a full assessment.

West Norfolk’s 5Qs test takes place before either of those steps and decides if a person needs nursing care or social care. If it’s the latter, they are referred to means-tested local authority services and not offered a CHC checklist unless the individual requests one or their case is “subsequently triggered”.

If more patients are discharged straight to social care without an initial CHC screening, there is a saving to the CCG.

The 5Q test was first devised in 2016 as part of a pilot project supported by NHS England (see box below). The CCG has said it does not replace the CHC process.

An internal review of the project, published in December 2016, said the test was introduced to determine which patients should be screened under the CHC checklist. DHSC guidance does not dictate how a local system should decide who should be assessed, but says “where there may be a need for NHS CHC, a checklist should normally be completed”.

Mr Harbour said: “The great innovation purported to have been achieved by the 5Q test is to identify whether somebody primarily has health needs or social needs. By law, the only way of determining that question is through the CHC assessment process.”

Meanwhile, HSJ has learned several other CCGs that were considering using the 5Q test have now dropped their plans.

The four CCGs in Greater Nottingham – Nottingham City, Nottingham North and East, Nottingham West and Rushcliffe – said they were “advised by the [NHS Improvement] emergency care improvement programme not to proceed and have reverted to following the national guidance”.

Sheffield, and Ipswich and East Suffolk CCGs have also dropped the test, but would not explain why.

 

Read more about Sheffield CCG

Revealed: Crisis at top CCG amid claims of bullying and ‘toxic’ culture | News|Health Service Journal

NHS England was warned about ‘unrelenting bullying’ at top CCG | News|Health Service Journal

Troubled CCG asks director to spearhead improvement plan| News|Health Service Journal

Trust saves £2m after taking on commissioning powers| News|Health Service Journal

Exclusive: Leeds, Newcastle and Sheffield say no to NHS devolution| News|Health Service Journal

Commissioners reveal plans to tackle variation in children’s surgery| News|Health Service Journal

 

 

 

 

Source: CCG accused of using ‘flawed’ test to cut spending on elderly | News | Health Service Journal

Carer Voice (Working Together)

Some 3 years ago I and 2 other Learning Disability Family Carers agreed to help a University of Sheffield student with her thesis for her PHd. A post was created on one of my other blogs 61chrissterry re the initial stages of this project where we used the principles of Co-production and the post can be found here.

Since that post was issued we met regularly and we analysed the information obtained from the various workshops at our event on 20 October 2017. From this analysis we eventually created a number of documents which we all felt would improve communications between Learning Disability Family Carers and the range of Service Providers.

In order to ensure the documents we created could be used we met with a range of service providers.

Initially we arranged a meeting at Sheffield City Council with Learning Disability Commissioners and representatives of Sheffield Adult Social Services, who viewed the documents and suggested some minor alterations for our consideration.

We then had a similar meeting with some home carer and Supported Living Service Providers, who also made some minor alterations for our consideration.

Over a few weeks we considered the suggestions mentioned from these 2 meeting and made adjustments accordingly.

By this time a meeting had been arranged with some representatives from Sheffield Clinical Commissioning Group and at this meeting they asked if they could use these documents with their ‘For Pete’s Sake’ campaign they were launching, to which we agreed.

In addition they offered us a 15 minute presentation slot on their ‘Assisted Technology event on the 28 June 2018. While our documents had nothing to do with assisted technology we did accept their kind offer and did attend their event and gave our presentation.

The presentation being presentation-for-ccg.

To view the documents we produced, these can be found here.

Chris Sterry produces his own Newsletter at least on a monthly basis should you wish to receive this please email Chris on carervoice@gmail.com

Thanks

Chris

 

 

 

 

How Carer Voice was Started

3 Family Carers of relatives with Learning Disabilities and/or Autism (Chris Sterry, Judith Gwynn and Kate Chapman) started working together with a PHd student (Rachael A Black) at the University of Sheffield (Department of Human Communication Sciences) using the framework of Co-production. This was initially to provide research for Rachael’s thesis required for her PHd, but also to have a meaningful outcome for LD Carers within Sheffield, UK

At the start of this co-production Rachael enquired through Sheffield Mencap & Gateway for carers of persons with Learning Disabilities to work with her on her PHd project. During the last 18 months we have had regular meetings at the University of Sheffield on how we would proceed with this project and what our initial outcomes would be. Initially through general discussions, which Rachael was recording, it became clear that the recurring situations was around carers communications with the range of Service Providers. Within the context of Service Providers it included Sheffield Adult Social Care through Sheffield City Council, various health providers ( being GPs, Sheffield Teaching Hospitals, Community Health, and many other health areas) together with the independent Care Providers including charities, voluntary and private independent providers.

So that we were not restricted around our own views we decided to create 2 surveys, 1 to be completed by LD carers reflecting on their interactions with Service Providers and the other survey to be completed by Service Providers reflecting on their interactions with LD Carers. The surveys were created on Survey Monkey and during their creation we had a number of meeting to discuss how these were to be formed, the number of questions to be included and the specific questions. When we were all satisfied with both surveys they went live on Survey Monkey and electronic links were disseminated through our various range of contacts within Sheffield, UK.

We also discussed how we wished to to use the information from these surveys in addition to the original outcome for Rachael’s thesis. and decided we would wish to do this in a form of a presentation. We looked at possible dates and venues and obtained costings and also viewed each venue and then using co-production decided which venue to book and how we would advertise the event and provide a means for LD Carers and Service Providers to book to attend the event, which we did through Eventbrite and agreed on a format for a flyer and a website (Carer Voice) and the event title being Carer Voice Working Together.

Working Together Event Presentation 2017

 

Carer Voice ‘Working Together’, The Presenters from left to right, Chris Sterry, Judith Gwynn, Rachael A Black and Kate Chapman
Carer Voice ‘Working Together’, Presenter Rachael A Black Stating the Principles of Co-production
Carer Voice ‘Working Together’ Carers and Service Providers working together
Carer Voice ‘Working Together’ Presenter Judith Gwynn answering questions at the end of the Presentation
Carer Voice ‘Working Together’ Presenter Kate Chapman answering questions

Carer Voice Final Notes

Thank you for coming today and now you have seen the presentation and been involved in the workshops in which carers and service providers have worked together. This is how it should be for we are all here for the same reason, to ensure vulnerable persons, be they be our relatives or not, have provision to ensure their needs are met and they can then led their own lives.

Communication is but one key, but an extremely important key and without it all that is there can fail.

With this in mind I facilitate a support group LD Carers Butty Group, also known as Central group or Butty Group, where there is also a website LD Carers Butty Group and a mailing/distribution list. There are other support groups and details of these can be obtained from the Carers Centre and from Cathy and Kirsty from Sheffield Mencap & Gateway (Sharing Caring Project).

If you wish to be included in the mailing/distribution list please advise your email address. While this was produced with carers in mind, it does not mean that service providers cannot be included. Information sent will include areas relating to disability both local and national as well as notes for the support meetings.

Lunch is now ready and there are some leaflets from a selection of providers please view and take away and continue to network throughout lunch.

Do not forget to put on a post it the message you are taking away from this event and an evaluation form will be emailed to you, please return with your comments.

Our thanks to

University of Sheffield, Department of Human Communication Sciences for funding the event

Sheffield Central Fire Station for the room

Healthwatch Sheffield for the pens

Carer Voice ‘Working Together’, Chris Sterry giving the closing statement

 

After the Carer Voice : Working Together event we sent the following email to everyone who attended the event and also to those persons who could not attend but did express an interest in the event.

“We just wanted to get in touch to give you an update on the work we are doing following the Working Together Event in October.

 As a group we have met once to go through the feedback and will be meeting again in December. Where we will start drafting some standards and guidelines for communication between family carers and providers of service based on the information you gave us.  

 In early 2018 we will email these to you for your feedback. If you would not like to receive these emails then please do let me know and I will remove your name form the mailing list.

 We are also planning to pull together a small working group in the New Year to ensure the standards are accessible and practical. If you would be interested in being in this group, please do let us know. It will consist of 2 to 3 meetings at the University of Sheffield.

 Please also find attached some information about care workers in the independent and charity sector and the flu vaccine which we hope will be of use to you.

If you would be interested in receiving a copy of the presentation we gave on the day please do get in touch and I will send this to you.

Many thanks

Rachael and Carer Voice”

Flu Vaccine for Care Workers

Supporting People with Learning Disabilities get Flu Injection

 

We have now met in December and have started drafting some standards and guidelines for communication between family carers and providers of services based on the information given to us during the Carer Voice : Working Together event.

The draft documents were produced.

So we could enage with service providers we held 3 meetings.

Intialy we met with  representatives of Sheffield Adult Social Carer and Sheffield City Council Commissioning who viewed the documents and made some comments regarding some minor alterations.

The second meeting was with some service care providers who also made some contructive comments.

The final meeting was with representatives of Sheffield Clinical Commissioning Group, who also welcomed the documents and wished to use these in conjunction the their ‘For Pete’s Sake’ campaign’ and offered us a 15 minute presentation slot in the Assistive Technology event on the 28 June 2018.

Chris gave the presentation at the event and it was very appreciated by the atendees.

The presentation can be viewed  here